Duration of induced seizures during selective pharyngeal brain cooling]

Whole body hypothermia can be used to treat the injured brain (e.g. after hypoxic events). Side effects include hemodynamic instability, coagulopathy and infection. Because of these side effects it appears reasonable to cool the brain selectively (selective brain cooling, SBC) without changing the core temperature. A new animal model was used to demonstrate SBC from the pharynx and to examine effects of SBC on the duration of pharmacologically induced seizure activity. Sprague-Dawley rats (n=18, 12 successful experiments) were sedated and mechanically ventilated. Invasive blood pressure monitoring was instituted and blood gases were drawn to evaluate the arterial blood gas status. Electrical brain activity was recorded using a microneedle in the extracellular compartment of the rat brain cortex. Cooled water was circulated through a small tubing into and out of the pharynx of the animals. The cortical as well as the rectal temperature were recorded. After the injection of a single dose of bicuculline (1 mg/kg i.v.) per animal the duration of the induced seizure activity was measured and compared with the temperature prior to the induction of seizure activity. The cortical blood flow (CBF) was detected using intra tissue Doppler signals in the rat cortex in the same location as the EP-study. The influence of a brain temperature reduction between 36.5 degrees to 31.5 degrees C on the seizure duration was examined. There was a positive correlation between the seizure duration and the cortical temperature (r=0.64). Also the CBF was increased during seizure activity (p=0.02) and the increase correlated weakly with cortical temperature (r=0.18). The core temperature remained in the normothermic range (36.9+/-0.7 degrees C) Conclusion: The duration of induced seizures correlates with local brain temperature. In the future further studies should examine the efficiency of induced (selective) brain cooling to treat prolonged seizure activity.     

Effect of the pancreatic digestion with liberase versus collagenase on the yield, function and viability of neonatal rat pancreatic islets

Many obstacles hinder the clinical application of pancreatic islet transplantation as a cure for diabetes mellitus. One of them is the suitable isolation method of sufficient number of healthy islets for transplantation. In this context, liberase enzyme was developed as a purified form of the traditional collagenase. It was the aim of this study to investigate the effect of liberase-digestion on the yield, function and viability of neonatal rat islets, and to compare the new enzyme with the collagenase. Glucose-stimulated insulin secretion was measured as indication of the function, insulin content as indication for the synthetic activity of islet cells and DNA as an indication of cell viability. The results showed no difference between islets isolated either with collagenase or liberase. Glucose stimulated similarly the insulin secretion in both. Stimulation index tended, without significance, to be higher (55%) in liberase-isolated islets compared with the collagenase islets (49%). The viability of both was similar. The insulin synthesis (content) tended also to be better in liberase-isolated islets. It could be concluded that liberase could be non-significantly preferred in the isolation of neonatal rat islets in comparison with collagenase.     

Differences in mortality after fracture of hip: the east Anglian audit.

OBJECTIVE--To investigate differences between hospitals in clinical management of patients admitted with fractured hip and to relate these to mortality at 90 days. DESIGN--A prospective audit of process and outcome of care based on interviews with patients, abstraction from records with standard proforma, and follow up at three months. Data were analysed with chi 2 test and forward stepwise regression modelling of mortality. SETTING--All eight hospitals in East Anglia with trauma orthopaedic departments. PATIENTS--580 consecutive patients admitted for fracture of neck of femur. MAIN OUTCOME MEASURE--Mortality at 90 days. RESULTS--Patients admitted to each hospital were similar with respect to age, sex, pre-existing illnesses, and activities of daily living before fracture. In all, 560 (97%) were treated surgically, by a range of grades of surgeon. Two hundred and sixty one patients (45%; range between hospitals 10-91%) received pharmaceutical thromboembolic prophylaxis, 502 (93%; 81-99%) perioperative antibiotic prophylaxis. The incidence of fatal pulmonary emboli differed between patients who received and those who did not receive prophylaxis against deep vein thrombosis (P = 0.001). Mortality at 90 days was 18%, differing significantly between hospitals (5-24%). One hospital had significantly better survival than the others (odds ratio 0.14; 95% confidence interval 0.04-0.48; P = 0.0016). CONCLUSIONS--No single factor or aspect of practice accounted for this protective effect. Lower mortality may be associated with the cumulative effects of several aspects of the organisation of treatment and the management of fracture of the hip, including thromboembolic pharmaceutical prophylaxis, antibiotic prophylaxis, and early mobilisation.     

Two viruses of Heterobasidion confer beneficial,cryptic or detrimental effects to their hosts in different situations

We investigated the effects of two recently described dsRNA mycoviruses, HetRV3-ec1 and HetRV6-ab6, on Heterobasidion wood decay fungi. The viruses originally inhabited Heterobasidion ecrustosum and Heterobasidion abietinum, and were transferred in the laboratory into other Heterobasidion species. Isogenic virus-free and virus-infected Heterobasidion isolates were used to test the effects of these viruses on their hosts' growth rate and competitive ability against mycorrhizal and decay fungi (Paxillus involutus, Meliniomyces bicolor and Phlebiopsis gigantea). This study shows that: (i) a single virus strain confers different effects on different Heterobasidion host strains; and (ii) a single virus strain may have contrasting effects on the fitness of a single host isolate (ranging from no effect to harmful or beneficial) depending on environmental and ecological conditions. We also report for the first time on the antagonism of Helotiales belonging to the sub-group Rhizocyphus–Meliniomyces against Heterobasidion species.     

Sequence of a 1.4-kb region in the 3'-flanking region of the murine c-fos proto-oncogene which contains an estrogen-response element

The nucleotide sequence of a 1.4-kb region in the 3'-flanking region of the murine c-fos oncogene has been determined. This region contains an estrogen-response element which is located almost 5 kb downstream from the c-fos promoter.     

Gonadal and reproductive patterns in Tilapia leucosticta (Teleostei: Cichlidae) in an equatorial lake, Lake Naivasha (Kenya)

The cichlid fish T. leucosticta (Trewavas) was studied by fortnightly seining an area of an equatorial lake (Lake Naivasha) in Kenya to study their reproductive and gonadal patterns. The study lasted 16 months during which period temperature, rainfall and (for the last 11 months) sunlight patterns were obtained and analysed. Testicular and ovarian development was lowest in the months of July-August. No evidence of breeding was detected during this period. This period is also marked by the lowest rainfall, the lowest temperatures and least sunlight. Slight but fluctuating breeding activity and gonadal development is resumed in October following increased sunlight and temperatures from September. The period December to February is marked by sustained high temperatures, high sustained maximal sunlight and low rainfall. It is also the period of rising gonadal development in most mature males and females reaching a peak in both sexes in February. This is followed shortly after by a sharp peak in reproductive activity. It is concluded that sunlight and temperature are the most important factors influencing gonadal development and subsequent breeding in Tilapia even under equatorial conditions. When preceded by conditions of sustained high temperatures and good sunlight which are conducive to the maximal development of the gonads of both sexes, the onset of rainfall seems to stimulate the initiation of the peak breeding activity. Sustained heavy rainfall on the other hand seems to check breeding.